REBECCA SHEREE BODIFORD


Address: 7125 University Ct, Montgomery, AL 36117-8016
Phone: 3342392622

REBECCA SHEREE BODIFORD (NPI# 1831551621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831551621
Entity Type Individual
Full Name REBECCA SHEREE BODIFORD
Credential PHD
Practice Address 7125 University Ct
Montgomery
AL 36117-8016
Practice Telephone 3342392622
Practice Fax Number 3346257602
Mailing Telephone 3342392622
Mailing Fax Number 3346257602
Enumeration Date 2016-03-22
Last Update Date 2019-12-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
2004 AL Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
2004 AL Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
7085 Sydney Curv, Montgomery, AL 361173509 3344408045 3342705503

Office Location

Street Address 7125 UNIVERSITY CT
City MONTGOMERY
State AL
Zip Code 36117-8016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760015374 Julie Anne Bond Nurse Practitioner 7125 University Ct, Montgomery, AL 36117-8016 2020-02-21
1114568508 Leigh Anne Fagin Social Worker 7125 University Ct, Montgomery, AL 36117-8016 2019-10-07
1275036659 Wendy Slater Palkki Social Worker 7125 University Ct, Montgomery, AL 36117-8016 2018-03-13
1801314356 Jacob Andrew Scott Registered Nurse 7125 University Ct, Montgomery, AL 36117-8016 2017-09-05

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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NPI Name Taxonomy Address Enumeration
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1508005836 Hope for Families and Community Services, Inc. Psychologist 113 Mccoy Ln, Livingston, AL 35470-2809 2009-02-10
1093980989 Monte Sano Asessment and Enrichment Center Psychologist 820 Monte Sano Blvd Se, Huntsville, AL 35801-6133 2008-04-23
1922299890 Stephanie Bethke Stoll Psychologist 4 Office Park Cir, Suite 215-a, Mountain Brk, AL 35223-2511 2007-08-06
1932202173 Sandra C. Redden Psychologist 15 Office Park Circle, Suite 140, Birmingham, AL 35223 2006-09-06
1639287857 Child & Adolescent Psychological Services of Inverness, PC Psychologist 4898 Valleydale Rd, Suite A1, Birmingham, AL 35242-4654 2006-08-28
1669979225 Laura Katherine Hansen Psychologist 4778 Overton Rd, Birmingham, AL 35210-3803 2018-04-10
1760840490 Interact Psychological Services Psychologist 15 Office Park Cir, Suite 140, Mountain Brk, AL 35223-2524 2016-02-09
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Competitor

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City MONTGOMERY
Zip Code 36117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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